DISASTER MEDICINE No. 4 •2024

https://doi.org/10.33266/2070-1004-2024-4

Original article

Modeling of Factors Associated with the Duration of Inpatient Treatment of Residents of The Arctic Zone of the Arkhangelsk Region, Wounded from Limited-Damage Firearms

Barachevskiy Yu.E. 1, Yasheva S.Yu. 1, Mordovskiy E.A. 2, Baranov A.V. 1,2, Maslyakov V.V. ³

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1 Northern State Medical University of the Ministry of Health of the Russian Federation, Arkhangelsk, Russian Federation

² Syktyvkar State Federal University named after Pitirim Sorokin, Syktyvkar, Russian Federation

³ Saratov State Medical University named after V.I.Razumovskiy of the Ministry of Health of the Russian Federation, Saratov, Russian Federation

UDC 616-001.45:616-082(470.11)

Pp. 35-41

 

Summary. The aim of the study is to determine the average duration of inpatient treatment for victims who received injuries from limited-damage firearms (LLFWs) and the factors associated with these durations.

Materials and methods. A statistical study (in the form of the documentary observation) was carried out based on the records from 248 case histories of patients who received hospital care in Arkhangelsk and Severodvinsk (Arctic zone of the Arkhangelsk region) being wounded by NLW in 2005–2022. Simple (SLRA) and multiple linear regression analyses (MLRA) were used to detect factors and covariates associated with the duration of hospitalization of those patients.

Results of the study and their analysis. The study determined the average treatment times for victims in 2005–2014 and 2015–2022, as well as the average treatment times for victims: with a single wound, with two or more wounds; with a total severity of wounds, which was assessed using the CAP-P(OR) scale in points: less than 0.5 points, in the range of 0.5–0.99 points, and more than one point.

In addition, the average treatment times were determined for victims whose condition at the start of treatment was assessed as satisfactory, moderate, and severe.

It was concluded that the inpatient treatment times for victims with wounds from primary trauma depend mainly on the total severity of the wounds, determined using the CAP-P(OR) scale, and the severity of the victim’s condition upon hospitalization.

Keywords: Arctic zone of the Russian Federation, Arkhangelsk region, covariates, CAP-P(OR) injury severity assessment scale, factors, hospital treatment time, injuries, limited-damage firearms, modeling, multiple linear regression analysis, simple linear regression analysis, victims

For citation: Barachevskiy Yu.E.,  Yasheva S.Yu., Mordovskiy E.A., Baranov A.V., Maslyakov V.V. Modeling of Factors Associated with the Duration of Inpatient Treatment of Residents of The Arctic Zone of the Arkhangelsk Region, Wounded from Limited-Damage Firearms. Meditsina Katastrof = Disaster Medicine. 2024;4:35-41 (In Russ.). https://doi.org/10.33266/2070-1004-2024-4-35-41

 

REFERENCES

  1. https://rg.ru/2022/05/10/kolichestvo-ubijstv-v-ssha-s-primeneniem-ognestrelnogo-oruzhiia-vyroslo-v-pandemiiu.html
  2. Worldwide Gun Deaths Reach 250,000 yearly; US Ranks High (Engl.). CNBC (29.08.2018) (access date: 08.11.2019).
  3. Kapitonova N.V., Abramets N.A. The Civilian Weapons Market and Illegal Weapons Turnover as Objects of Influence on the Country’s Economic Security. Tenevaya Ekonomika = The Shadow Economy. 2024;8;2:207-217 (In Russ.).
  4. Kaske EA, Cramer SW, Pena Pino I, et al. Injuries from Less-Lethal Weapons during the George Floyd Protests in Minneapolis.N Engl J Med 2021;384:774-5. DOI: 10.1056/NEJMc2032052.
  5. Hiquet J., Gromb-Monnoyeur S. Severe Craniocerebral Trauma with Sequelae Caused by Flash-Ball(R) Shot, a Less-Lethal Weapon: Report of One Case and Review of the Literature. Medicine, Science and the Law. 2015. 0025802415587320. doi:10.1177/0025802415587320.
  6. Scolan V, Herry C, Carreta M, et al. Risks of Non-Lethal Weapon Use: Case Studies of Three French Victims of Stinger Grenades. Forensic Sci Int. 2012;223:e18-21.
  7. Gugala Z, Lindsey RW. Classification of Gunshot Injuries in Civilians. Clin Orthop Relat Res. 2003;Mar;(408):65-81. doi: 10.1097/00003086-200303000-00007. PMID: 12616041.
  8. Bel’skikh A.N., Samokhvalov I.M., et al. Ukazaniya po Voenno-Polevoy Khirurgii = Guidelines for Military Field Surgery. Ed. A.N. Bel’skikh, I.M. Samokhvalov. Moscow Publ., 2013. 474 p. (In Russ.).
  9. Simske NM, Rascoe A, Vallier HA. The Economic Impact of Gunshot Wounds on an Urban Level 1 Trauma Center. Injury. 2022 Nov;53(11):3709-3714. doi: 10.1016/j.injury.2022.08.070. Epub 2022 Aug 31. PMID: 36137775.
  10. Sen CK. Human Wounds and its Burden: an Updated Compendium of Estimates. Adv Wound Care (New Rochelle). 2019;Feb 1; 8(2):39-48. doi: 10.1089/wound.2019.0946. Epub 2019 Feb 13. PMID: 30809421; PMCID: PMC6389759.
  11. Teplov V.M. Kontseptsiya Trekhurovnevoy Sistemy Okazaniya Skoroy Meditsinskoy Pomoshchi v Sub’yekte Rossiyskoy Federatsii v Rezhime Povsednevnoy Deyatel’nosti i pri Chrezvychaynykh Situatsiyakh Biologo-Sotsial’nogo Kharaktera = The Concept of a Three-Level System for Providing Emergency Medical Care in a Constituent Entity of the Russian Federation in the Mode of Everyday Activities and in Emergency Situations of a Biological and Social Nature. Doctor’s Thesis (Med.).14.02.03. St. Petersburg Publ., 2022. 342 p. (In Russ.).
  12. Barachevskiy Yu.E., Yasheva S.Yu., Baranov A.V., Maslyakov V.V., Mordovskiy E.A. Provision of Surgical Care to Victims of the Use of Traumatic Weapons in the Arctic Zone of the Arkhangelsk Region. Meditsina Katastrof = Disaster Medicine. 2024;3:27-31 (In Russ.). doi.org/10.33266/2070-1004-2024-3-27-31
  13. Abakumov M.M., Tsamalaidze L.N., Voskresenskiy O.V., Dzhagraev K.R. 15. Wounds of the Neck, Chest and Abdomen from Traumatic Firearms. Khirurgiya = Surgery. 2010;11:16-22 (In Russ.).
  14. Trukhan A.P., Fedorov K.A., Kislyuk M.V. Modern Approaches to the Treatment of Patients with Gunshot Trauma. Voennaya Meditsina = Military Medicine. 2024;1;70:134–139 (In Russ.). doi.org/10.51922/2074-5044.2024.1.134.
  15. Parfyonov V.E., Samokhvalov I.M. Injuries to the Maxillofacial Region with Non-Lethal Kinetic Weapons. Raneniya Neletal’nym Kineticheskim Oruzhiem: Rukovodstvo dlya Vrachey = Injuries with Non-Lethal Kinetic Weapons. A Guide for Physicians. St. Petersburg, Medkniga ELBI-SPb. Publ., 2013. P.130-160 (In Russ.).
  16. Golovko K.P., Tyurin M.V., Maday D.Yu., Tolmachev I.A. Features of Treatment Tactics for Injuries from Non-Lethal Kinetic Weapons to the Maxillofacial Region and Brain. Mediko-Biologicheskie i Social’no-Psikhologicheskie Problemy Bezopasnosti v Chrezvychaynykh Situatsiyakh = Medico-Byiological and Socially-Psychological Problems of Safety in Emergencies. 2009;2:27-31 (In Russ.).
  17. Perkins C, Scannell B, Brighton B, Seymour R, Vanderhave K. Orthopedic Firearm Injuries in Children and Adolescents: an Eight-Year Experience at a Major Urban Trauma Center. Injury. 2016;Jan; 47(1):173-7. doi: 10.1016/j.injury.2015.07.031. Epub 2015 Jul 29. PMID: 26365475.
  18. Merkulov D.S., Fistal’ E.Ya., Demchuk V.O. Modern Aspects of Combat Surgical Trauma Treatment. Voprosy Rekonstruktivnoy i Plasticheskoy Khirurgii = Issues of Reconstructive and Plastic Surgery. 2024;27(1):82-89 (In Russ.). doi.org/10.52581/1814-1471/88/08
  19. Trishkin D.V., Kryukov E.V., Chuprina A.P. Evolution of the Concept of Providing Medical Care to the Wounded and Injured with Injuries to the Musculoskeletal System. Voenno-Meditsinskiy Zhurnal = Military Medical Journal. 2020;341;2:4-11 (In Russ.).
  20. Baranov A.V. Sistema Organizatsii Okazaniya Meditsinskoy Pomoshchi Postradavshim v Dorozhno-Transportnykh Proisshestviyakh na Federal’nykh Avtodorogakh v Regionakh Rossii s Nizkoy Plotnost’yu Naseleniya = System for Organizind the Provision of Medical Care to Victims of Traffic Accidents on Federal Roads in Regions of Russia with Low Population Density. Extended Abstract of Doctor’s Thesis (Med.). 14.02.03. St. Petersburg Publ., 2023. 48 p. (In Russ.).
  21. Baranov A.V., Matveev R.P., Barachevskiy Yu.E. Assessment of Circumstances and Severity of Injuries in Casualties with Pelvis Traumas. Meditsina Katastrof = Disaster Medicine. 2012;1:23-25 (In Russ.).
  22. Teplov V.M., Tsebrovskaya E.A., Alimov R.R., Ihaev A.B., Kitsun S.V., Zabelina I.Z., Bagnenko S.F. Comparative Analysis of the Results of Modeling a Three-Level System of Emergency Medical Care in the Constituent Entities of the Russian Federation. Skoraya Meditsinskaya Pomoshch’ = Emergency Medical Care. 2020;21;4:4-10 (In Russ.). doi 10.24884/2072-6716-2020-21-4-4-10.
  23. Teplov V.M., Aleksanin S.S, Tsebrovskaya E.A., Belash V.A., Burykina V.V., Bagnenko S.F. Possibilities of Computer Simulation Modeling in Optimizing the Work of the Inpatient Emergency Department in Emergency Situations. Mediko-Biologicheskie i Social’no-Psikhologicheskie Problemy Bezopasnosti v Chrezvychaynykh Situatsiyakh = Medico-Byiological and Socially-Psychological Problems of Safety in Emergencies. 2021;4:40-47 (In Russ.). doi 10.25016/2541-7487-2021-0-4-40-47.

 

The material was received 16.10.24; the article after peer review procedure 18.11.24; the Editorial Board accepted the article for publication 05.12.24
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